Tue - August 21, 2007Uninsured ChildrenEvery 47 seconds a child is born in the United
States uninsured for health care according to the Children's Defense
Fund.
Every 47 seconds a child is born in the United States uninsured, according to the Children's Defense Fund. At this moment nine million children are not covered by Medicaid or the State Children's Health Insurance Program. Most live in families with two working parents. It's a national disgrace that 11.6% of all children in the United States are not provided adequate health care. One of the richest nations in the world cannot find the resources to care for its children but can manage to pump $200 million a day into war, at a rate of $100,000 per minute. Having lost the debate on SCHIP renewal and expansion in the legislature, the current administration is putting into place requirements that make it difficult if not impossible for states to meet in order to qualify for funds. This will limit the availability of funds to cover uninsured children. A good backgrounder on the issue is available at the Center on Budget and Policy Priorities website. Information is also available at the Urban Institute website.From the perspective of Christian teaching, this is a fundamental issue for several reasons but two stand out. First is the clear statement by Jesus in Matthew 18:5 that when we receive and care for children it is as if we are receiving and caring for Jesus himself. But there is a second important teaching that cuts through all the Christian sacred texts and that is the call to serve. The Christian gospels carry a steady call to live a life of diakonia, or service. Jesus' teaching about receiving children is related to protecting the innocent and serving their needs. I don't see any exceptions in this teaching--no small print that says you care only for those whose family income is at the poverty line and not those parents in a family of four who earn 200 per cent above poverty level. There's just this simple statement: Whoever welcomes one such child in my name welcomes me. Here are some ways to take action: Children's Defense Fund General Board of Church and Society of The United Methodist Church Posted:05:23 AM Home |Fri - August 17, 2007Gates FollowupThe conversation between United Methodist leaders
and Gates Foundation staff led to discovery of common concerns.
It came as no surprise that a conversation between United Methodist leaders and staff of the Bill and Melinda Gates Foundation would find common ground. But the sense of shared commitment to the claim that every life has value that pervades the Gates Foundation philosophy struck some of us as a strong complement to the religious claim that all life is sacred. So it isn't just commonality about programs or approaches to confronting poverty, hunger and disease. It's a shared sense of belief in the value of human life. This became more obvious to me as the conversation progressed. And it made the possibility of partnership seem possible. Sometimes when I write about values I get a bit defensive because I'm aware of the skepticism about religion that many thoughtful people in the United States feel. And, I'm also aware that religious claims strike many people as having little authenticity. The contentious period we're passing through makes it more difficult for some to believe these claims and to trust they are genuine. I think this is a bit of the fallout that comes from the close identification of religion with right wing politics and, equally important, the identification of religion with cultural values as if religion and culture are the same. They aren't of course, but to state even this is to invite criticism of disloyalty to one's nation in the minds of some.So, I tend write less about values than I should and when I do, I write more defensively than I should. And honestly, the conversation between the church folks and the Gates folks didn't even broach this subject in the way I'm writing in this post. But the conversation did lead me to reflect on a growing desire that I believe is afoot. People, religious or not, want to make a difference in the world and to engage the problems that make life so miserable for some. I take this as a hopeful sign. I've been amazed at the way the Nothing But Nets campaign to raise funds for bednets to prevent malaria has taken hold in The United Methodist Church. Every day I get a note reporting another story of commitment and hard work to raise funds for bednets. Some are about children taking up this cause. Others are about youth. And still others are about local congregations, many of whom might have said they can't be pushed to give more because they're already stretched to the breaking point financially. Yet, they continue to push to raise funds for bednets. Despite the current stock market roller coaster ride, the developed nations of the North live in abundance. We are not in a setting of scarcity. I appreciate that the abundance is ill-distributed to the point of being unjust. But never the less, the mainline faith communities exist in abundance, and many in them are motivated to do more than settle into material comfort and forget the rest of the world. I live in the hope that this percolating concern and emerging good will can be focused into a movement, a movement to improve living conditions and provide the medicines, knowledge and support for ending much of the human suffering that exists unnecessarily around the world today. That's a visionary hope, I know, and it probably meets with skepticism, but I hold to it none the less. And I wonder what would happen if a global movement took hold to call upon governments and civic organizations to concentrate on saving lives and put an end to the wars, poverty and diseases that are killing children and adults today at a frightening pace. I think I hear the seeds of this movement when I hear young people talk about what they want to do with their lives. And I think I witness it when I hear the reports of people who thought they couldn't do it, reach financial goals for bednets that make them feel they've accomplished something wonderful. And they have. So these are my ruminations following the much more specific and concrete conversation I was privileged to be part of with the Gates staff. I just keep wondering what would happen if a global movement were to take hold and tackle the diseases of poverty. How many lives would be saved? How many promising children and young adults might live long enough to take up the cause and find ways to unleash life, and turn away from death? What would happen if people of faith were to take seriously the call of Jesus to live abundantly and to serve others graciously? That would provide a different view of religious faith to the world, it would save lives and it would reaffirm the biblical teaching that all life is sacred. I keep wondering. Posted:09:52 PM Home |Thu - August 16, 2007CARE and Food AidCARE's decision to reject U.S. food aid is a step
in the right direction.
CARE's announcement today that it will halt using U.S. food aid in its programs overseas is a courageous, controversial step but a step in the right direction. The issue is controversial because CARE, and some other nonprofits, say the food aid undermines local production and undercuts the market price for locally produced food. But the policy in the U.S. is used to provide income to U.S. farmers for their over production. It benefits U.S. farmers while also providing food to poor people overseas. The nonprofits receive cash for administering the programs and paying local staff and they have used these funds to support programs to lift people from poverty. But CARE says the program makes nonprofits contractors on behalf of the U.S. government, which is not their primary mission. There will continue to be vocal debate about this issue from all sides with many points of view. But the action of CARE is a courageous act of principle that will cost the organization substantial dollars. It's rare to see this in today's world of compromise and I hope CARE is able to replace the dollars and also to contribute to public understanding of the role of food aid in U.S. policy. And ultimately, I hope the action by CARE leads to a reassessment of policy to determine how best to help people lift themselves from poverty. If it leads to that discussion, CARE's action will have had a positive benefit for all concerned.Posted:07:02 AM Home |Wed - August 15, 2007Gates Foundation and United Methodists MeetTonight I'm writing from Seattle where tomorrow
with others from The United Methodist Church I'll meet with staff of the Gates
Foundation.
For several months conversations have been taking place in The United Methodist Church about an initiative to address global health concerns. Of particular interest is malaria. The people of the church have been enthusiastic and generous giving to Nothing But Nets which provides bednets to mothers with young children through the UN's Measles Vaccination Program. This interest has been inspiring. People are taking initiative on their own. Over the past year we estimate gifts from United Methodists (both pledged and in-hand) will approach three million dollars. This is quite a feat.A major proposal is winding its way through consideration in the church to carry out a global health initiative that would emphasize working to end the diseases of poverty--HIV, malaria and tuberculosis. If affirmed, it would require partnerships with other groups who can bring global scale to the partnership and it would require cooperation across the entire church. It also will take years, if not decades, to see results. Admittedly, it's highly visionary. But that isn't a negative, in my opinion. The church started hospitals and schools in the U.S. and in other countries with vision. Today some of those facilities are among the leading institutions in the country, if not the world. So, vision isn't lacking in the history of the church. And to have this vision is not to be out of touch with reality. So tonight I write from Seattle where, with a group of leaders of the church, we will meet with staff of the Bill and Melinda Gates Foundation in an exploratory conversation to see if we have mutual interests and might find it useful to partner around these mutual concerns. It may be that the seeds of a partnership are being planted that will grow into a movement for global health that has the potential to bring meaningful change. We'll just have to wait and see. Posted:06:59 PM Home |Fri - August 10, 2007Reporting on HIV/AIDSChristine Gorman is back from South Africa and
reporting on HIV/AIDs.
Christine Gorman who writes the Global Health Report is back from a visit to South Africa and writing about HIV/AIDs in that country. Her report on grandmothers is particularly interesting to me because I've seen what grandmothers have done in spontaneous care-giving for children orphaned by this disease. It's quite remarkable. The grandmothers of Africa are in many ways keeping the social fabric together. They have voluntarily taken in orphaned children and are providing them care, guidance, shelter and food. It's a huge challenge that probably would have been impossible to organize formally. They just do it. Christine's report on loveLife, a sex education and teen empowerment organization, is also a great discussion of the challenges presented by sex education and unintended consequences.Sex education is a subject that raises emotional hackles not only in the U.S., it's also debated across Africa, particularly abstinence programs. These are being heavily promoted. Travel in Uganda, Libera and other countries and you will see billboard ads with images of youth and young adults promoting the value of sexual abstinence. But recent studies call into question the effectiveness of abstinence education. It appears teens who have committed to abstinence don't stay with their pledge long-term. And, I learned from Christine's report that an unintended consequence of abstinence from sexual intercourse is an increase in anal intercourse, and this is an even more effective means of transmitting the virus than intercourse. As infection rates seem to be on the increase in Africa, it's necessary to take a hard look at what is working, what isn't and how to move forward more effectively. And as discomfiting as it may be, it will take straightforward analysis and conversation. Kids lives are in the balance. Posted:06:06 AM Home |Thu - August 9, 2007Global Warming and HealthTennessee is facing its third day of oppressive
heat and Brooklyn has a tornado.
Tennessee and Alabama are in the grips of one of the longest droughts in memory and now it's coupled with triple digit heat. At the same time, floods are disrupting life in many areas of the world including the United Kingdom, India and Bangledesh. A tornado touched down in Brooklyn yesterday causing one incredulous resident to say, "This isn't Kansas!" The caption on the Weather Channel today is "Deadly Heat and Savage Storms." As we endure the third day of 100+ degree heat, health warnings are issued for those vulnerable due to upper respiratory stress, heart conditions and other complications. The connection between this unusual heat and health is clear. Human service agencies are receiving donated window air conditioners and giving them to people with health concerns who can't afford to buy the units. In casual conversation, people speak of difficulty breathing the humid air that hangs in a gray overcast. Local weather advisories tell us the air is holding pollution in a dome during the day. Fortunately, skies clear at night and today it's sunny.But heat and drought are causing people to take note and to ask if the weather extremes are related to global warming. The heat and drought also remind us of an axiom we tend to forget under normal conditions. Even in this most developed and affluent nation, if you are poor or vulnerable for other reasons, a few degrees of heat and lack of water can be deadly. This heat wave is also a reminder that health, poverty and our individual lifestyles are not separate and compartmentalized. They are connected. We're all in this together. And the threat to our health and well-being is bound up in our individual actions as well as our collective behavior as a nation. The sooner we learn this axiom, the sooner we can begin to make the changes necessary to restore balance and contribute to the health of our Earth Mother. Posted:04:24 AM Home |Wed - August 8, 2007Fish Fight MalariaResearchers in Kenya find that tilapia are
effective in controlling mosquitos carrying malaria.
The BBC reports researchers in Kenya have documented a 94% reduction rate for malarial mosquitos consumed by tilapia, a fish commonly used as a food source in many parts of the world. The research is the first formal documentation of the ability of tilapia to consume larvae at a signficiant pace. I mentioned the use of tilapia in a church school pond in Uganda last year. After the pond was stocked, the fish reduced mosquitos in the immediate vicinity so that it was virtually mosquito-free. However, there is an obvious limitation. The fish are effective only in the immediate area. In addition, mosquitos breed in standing water and puddles where it is not possible to introduce fish, so their effectiveness is limited to bodies of water suitable for the fish to survive.Posted:10:14 PM Home |Mon - August 6, 2007Blogging PlatformsI'm changing blogging platforms.
I've been swamped with work lately and have not blogged as frequently as in the past. And I'm looking into changing blogging platforms and that's taken time. It's a major change. I'm loooking at Wordpress primarily because it's accessible, has many plugins and looks like it will transfer my iBlog files. There's a lot to write about, of course, so I'll get back to more regular postings as I get the background work completed in making this changeover.Posted:06:44 PM Home |Thu - July 26, 2007U.S. Students Graduate Cuban Medical SchoolThe Guardian reports on U.S. students graduating
from the Latin American School of Medicine.
The Guardian reports this morning on the graduation of eight U.S. medical students from the Latin America School of Medicine, a creation of Fidel Castro on the outskirts of Havana. The Cuban medical system is one of the most advanced in Central America in many ways. However, it operates with equipment that in many places is far from state of the art. Despite its time-worn physical plant and technology, patients from around Latin America, and some from far distant nations, come for treatment and get good care. The graduating U.S. students may face challenges gaining licenses to practice in the U.S. but the commitment they express in the article to serving the poor illustrates the emphasis of the Cuban system on humanitarian service. It will be interesting to follow these students and see how they progress in the U.S. Posted:04:39 AM Home |Tue - July 17, 2007Sloppy Headlines and other journalistic flawsChristine Gorman on Health Media Watch blog
offers some constructive criticism about media and health writing.
I've written a fair share of criticism about the media in this blog. I think the issue of sloppiness--my own first and others secondarily--ought to be challenged. Especially in our media environment where messages travel around the world in seconds and have immediate influence. On the Health Media Blog, Christine Gorman consistently writes about journalistic sloppiness and points out how it affects us. Sometimes it's not harmless. And sometimes it doesn't pass unnoticed and easily forgotten. In this post she points out how a sloppy headline about Parkinsons is misleading. It could convey hope to persons affected by the condition while the cited study is limited. It's not a trial, nor even a safety study about the use of medication. The headline is misleading.In a different medium, I've noticed a local television station's "tease" about an upcoming segment employs a similar tactic. Sometimes they say a common household item can cause great harm or they hint, for example, that drinking coffee can prevent some the effects of some menacing disease. While there is a kernal of truth in the story, it is much less significant than the tease implies. But the point doesn't seem to be to give us important content. The story can't be told adequately in this brief way. Sometimes I wonder why they bothert. It's the electronic equivalent to the print headline. In a second post on why scientists dislike journalists Gorman makes the pertinent observation that information is not the same thing as knowledge, and opinion, the saltier the better in the post-information age, demonstrates that not all content is information. It's almost hackneyed to write that the paradigm is changing. But it's true. And as change overtakes, television news formats are tinkered with and adjusted to retain viewers. From the outside, it appears editors and managers are casting about trying to find a formula that works in a highly competitive envionment. I suppose this is part of the cause for the decline in quality local television news. In this context, Gorman's observations are helpful. She puts such practices in context and reminds those us who write content that others rely upon that trust is easy to lose and difficult to gain. Posted:01:36 PM Home |Sat - July 14, 2007The Coming of the SwallowtailsWe have a crop of black swallowtails growing and
we're watching with pride.
She glided in and briefly rested on the golden fennel. Her wings fluttered as she hesitated on one spike before flitting to another. Then she flew to the butterfly bush, moving deliberately from one tiny petal to the next drinking in nectar before she swept away as quickly as she had come. I checked the fennel and felt as happy as if I were a grandparent. Three eggs had been deposited. Tiny and pearl-like, they contrast clearly with the bronze spikes. This is is what we've been working for. We planted parsley first and got some traffic. But the fennel has been a great addition. We're trying to attract butterflies to a backyard garden so we're planting those flowers and herbs that provide food and nesting. And so far, we've been successful with swallowtails, which we've concentrated on because they're prevalent in our part of the state. Three additional eggs were laid the next day so we're now carefully watching six caterpillars.At first they are tiny specks so small they're barely visible. But they develop quickly. After a couple of days they look a bit like bird droppings. (Which is a nice camouflage, when you think about it.)
Upon emerging from the egg they start eating. They are voracious eaters. Last week this guy (or gal, how can you tell?) ate a whole fennel plant. We added to our plantings because six eaters will clean our garden. After they eat their fill they find a place to attach and go into the chrysalis stage. Then they emerge looking like this. Posted:07:27 AM Home |Sun - July 8, 2007Oil Field TrashI see the phrase "oil field trash" in the New
York Times today. Too bad. We can be better than this.
"Oil field trash" is an epithet applied to lower middle class whites who work at the most menial and dangerous jobs in the oil patch. It was applied to me as a third-grader in a dusty West Texas town. My dad was an oilfied roustabout, also known as a roughneck. Oilfield famlies like us were among the nomadic poor. We travelled from place to place following the re-location of drilling rigs prospecting for oil. Our lives literally revolved around the location. At this level oilfield people don't own homes, they rent. They don't take part in civic affairs because they move when the well comes in or proves dry. They aren't members of the PTA, the local church, Boy Scouts or Rotary, or whatever the social glue is today. We lived at the margins of society, and at the margins of the constraints of society.This was long before oilfield work paid high salaries and even before freelance workers could qualify for health insurance and Social Security. But the phrase sticks in my craw to this day. It's classist and perhaps racist. I note this because an article in the New York Times this morning highlights a quote from the book, Untapped: The Scramble for Africa's Oil, by John Ghazvinian. The Times reports that Ghazvinian spent six months traversing Africa looking at the scramble for oil in 12 nations and he writes about the their putschists, preachers, kleptocrats, activists, child soldiers and foreign "oilfield trash" -- that is, pot-bellied white men bar-hopping "with 19-year-old Naomi Campbell look-alikes." I'm disappointed the characterization is highlighted by the Times editors, but not surprised. Long ago I came to the understanding that it's still OK to stereotype lower middle class white working people. In the social totem I grew up in Rednecks are higher up than white trash who are higher than oilfield trash. I know Jeff Foxworthy has made a fortune claiming his redneck roots. And I know that some working folks call each other by these epithets. It's long been recognized that one way to drain the power from negative typecasting is to claim it and use it. It's controversial, as when African Americans claim the N word, but it's a way to insulate against the exclusion and inferior social location imposed by the majority culture. This isn't much ado about nothing, as I see it. To characterize other human beings as trash is beyond the pale. The men Ghazvinian saw may behave badly, even trashy. They may be beer swilling, obnoxious, overweight, miserable human beings, but they're not trash. It's a dangerous thing to denigrate the humanity of others. It's worth remembering only a few years ago Hutus justified genocide against Tutsis by reducing them to "cockroaches" and calling for their extermination. The less classist, racist stereotyping we have, even in benign form, the better. When we denigrate the humanity of others, we degrade ourselves. Besides, I'm not willing to be called trash anymore and I don't think anyone else should be. Posted:08:42 AM Home |Live Earth: The Morning AfterThe morning after Live Earth.
It's the morning after Live Earth, the largest event of its kind, according to Al Gore. Despite its scale, impressive as it is, the proof of its value will come later when we learn if the public awareness and calls to action have lasting effect. As I watched, I had several reactions beyond the entertainment value of the music itself. These are observations, not criticism. It's too easy to sit back and criticize. Pulling off a global event with as many moving parts as this was a monumental achievement.First, the message for any movement must be reduced to its simplest and most obvious form. When Al Gore asked the crowd at the Meadowlands to take the Live Earth pledge I thought he would offer this simple formula. Instead, his first point sounded more like the preamble to a treaty on global warming, which was, in fact, what he asked the crowd to support. He asked us to lobby the government to sign an international treaty on global warming with specific measurements and outcomes. Serious as this action step is, it was almost comical to hear it stated in that venue in all its wordy glory. Keep the message simple. "Save the earth. Recycle. Don't waste. Walk, don't drive. Carpool. Save water, bathe less. " :) The second musing I have is that celebrity isn't enough to build support for a cause. In fact, some of the innane interview comments of celebrities trivialized the seriousness of this cause. It's about the message and even celebrities must stay on message. There are articulate celebrity spokespersons, Bono being foremost, but the wisp of celebrity is hardly a solid basis for joining a cause. Third, some of the criticism of the global event had a point. It's fair to ask if the behavior of the sponsor is consistent with the values we are being called upon to support. Similarly, it's fair to ask if the the event itself models the behavior we are asked to live out ourselves. Live Earth attempted to do this, but in an entertainment venue noted more for excess and extravagant celebration than for earth friendly responsibility. Whether it was able to overcome this incongruity, I don't know. Will the entertainers and promoters actually make arena events more green? Time will tell. But, we are more aware. The makings of a global movement has begun and with Al Gore continuing to keep global warming in front of us in new and innovative ways, perhaps this generation will become the advocates for the Earth that their elders have failed so miserably to be. Posted:08:20 AM Home |Fri - July 6, 2007Live EarthThe Live Earth concerts this weekend seek to
build grassroots support for a global movement to save the earth.
The Live Earth concerts this weekend seek to create a tipping point to address the climate crisis. It's an urgent need and a noble effort. Al Gore has called global warming the moral issue of our time. But can another musical extravaganza capture public attention and create a grassroots movement? History isn't encouraging. While it's possible to raise funds using telethons, entertainment events such as Live Aid, Farm Aid, and Comic Relief, have not translated public awareness into sustained, collective social change. The organizers of Live Earth understand this and are planning additional ways to stimulate action after the concerts. This is where the rub comes.People go to concerts for the music and the experience. They may or may not be deeply committed to the cause. And many feel the mere act of attending the concert is sufficient. Translating an entertainment experience into a sustained movement is a huge challenge. It may be easier to energize existing grassroots organizations utilizing mass events, but no less daunting. Some grassroots movements benefitted financially from the Idol Gives Back television special but that was about fundraising, not grassroots organizing. It's possible to encourage lifestyle change, as Live Earth intends, by providing concert-goers with actions an individual can take to reduce energy use but it's not clear how long this sticks. The next step, collective action, is harder to stimulate and hold together. The after-glow of an entertainment event is short. The life of a media story is even shorter. It's my experience that public media can make people aware and call them to act but it's not necessarily effective at translating awareness into action. This happens when we meet face-to-face and are encouraged, invited or otherwise convinced to become involved. Self-interest is a huge factor, and saving the earth is a pretty good rallying point for our self-interest. But Live Earth won't escape this perennial challenge. A multi-layered marketing effort is planned and it may be the perfect test. Text messaging, blogs, a website, a list of actions individuals can take, and a handbook with information and action steps on global warming will complement the concerts. I hope it works. I'm glad it's being tried. I'm not as concerned as some about the energy it takes to stage these events. Concert organizers are attempting to make the concerts as green as possible but they face a dilemma. We've created a global entertainment culture with high expectations. Without the fanfare and reach of a mass event it's difficult to get the message through. Yet, individual events use energy extravagantly and this runs contrary to the message of Live Earth. To create a movement at scale without using the tools available would not only be counter-cultural, it would be nearly impossible to pull off. So it will be interesting to see how this effort moves forward. I hope it succeeds. We'll all be better off if it does. And if it doesn't we'll need to find another way to stimulate the action required to stop global warming and start to live differently. It's in the self-interest of the entire human family. Posted:08:41 AM Home |Mon - July 2, 2007Media Trash and the most trusted name in newsTwo hours of Paris Hilton on "the most trusted
name in news?"
I wasn't surprised that U.S. media didn't cover the partnership agreement between UMCOR and Muslim Aid. In this day of division and religious fanaticism two moderate groups, one from the third largest denomination in the U.S. and the other serving Muslims of all theological positions, carrying out peace-making isn't news, at least not when you've got Paris Hilton getting out of jail. I was pleased that BBC World Service television gave the story ten minutes including a live interview segment. Reuters and AP Radio in London also picked it up. This coverage happened concurrently with the Wimbledon tourney, a major rock music festival, the worst flooding in northern England since record-keeping began, the day before Tony Blair left office, and Paris Hilton's release from jail.I've come reluctantly to accept that TV news in the U.S. is mostly innane headlines and soundbites. I came to this reluctantly because I remember when it was much more, and frankly, I've hoped for more. But standards began to slide long ago, and to hope for significant change is to misplace psychic energy. It ain't going to happen. Fortunately, religious media serving both Christian and Muslim audiences covered the story broadly and through these media people were informed. In an interesting turn, Janice Min, editor of Us Weekly, a celebrity magazine, provides an explanation in Slate about why her magazine didn't do a story on Hilton. (She perceived readers were running for cover to avoid yet another Hilton story. She was reflecting reader interests, she writes.) Min notes that CNN stretched coverage of Hilton's release to two hours in its prime time evening lineup, and this on a day when the Senate issued subpoenas to the White House, Justice Department, Vice-President and National Security Council in the investigation of wiretapping and politicizing Justice Department appointments. It does make you wonder about the priorities of "the most trusted name in news," doesn't it? I find myself paying less attention to television news. There are alternatives in print and on line. And guess what? I haven't missed a thing. And I've freed up a bit of time for more useful pursuits. Posted:05:08 AM Home | |
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